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1871820845
KENT ALLEN LANGE
LAKEWOOD, CO
NPI
1871820845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WY 0614)
Enumeration Date
2009-11-11
Last Update Date
2009-11-11
Business Address
Mr. KENT ALLEN LANGE PTA
7100 W 13TH AVE
LAKEWOOD, CO 80214-4700
Phone number: 303-239-6016
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Mailing Address
Mr. KENT ALLEN LANGE PTA
8048 E 24TH AVE
DENVER, CO 80238-3070
Phone number: 303-635-6468
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